How Much Does Excision Pilonidal Cyst Complex Cost?
Also known as: Exc pilonidal cyst comp (CPT 11772)
Excision of a pilonidal sinus or cyst, complicated.
The total estimated cost of Excision Pilonidal Cyst Complex (CPT 11772) is $1,445 to $2,348, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $573.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Excision Pilonidal Cyst Complex
What you need to know before your appointment
What to Expect
Complex excision of an extensive pilonidal sinus with multiple tracts, possibly requiring flap closure.
How Long Does It Take?
1-2 hours
Common Reasons Doctors Order This
Complex pilonidal disease, multiple sinus tracts, recurrent pilonidal cyst after previous surgery
How to Prepare
Fast before anesthesia. Extended wound care. Keep area hair-free long-term to prevent recurrence.
Procedures Commonly Done Together
These procedures are frequently performed alongside Exc pilonidal cyst comp
How to Reduce Your Cost for Exc pilonidal cyst comp
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($847) differs from the facility rate ($573). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (25.37) x CF ($33.40) = $847
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Exc pilonidal cyst comp cost?
The Medicare facility rate for Exc pilonidal cyst comp is $573. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Exc pilonidal cyst comp cost without insurance?
Without insurance, the cost of Exc pilonidal cyst comp can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Exc pilonidal cyst comp?
Most commercial health insurance plans and Medicare cover Exc pilonidal cyst comp when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.